Crook County, Wyoming · Nursing home
Crook County Medical Services District Long Term C
2 of 5 overall from CMS
713 Oak St, Sundance, WY 82729
At a glance
- Overall rating 2 of 5 Below the state average of 2.9
- Nurse time per resident, per day 4.77 hours Above the state average of 3.87
- Nursing staff who left in a year 78.2% Above the state average of 51.8%
- Health citations, last 3 inspection cycles 25 1 at the harm level or above
- Fines in 3 years $8,981 1 fine
- Certified beds in use 93.1% of 32 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Crook County Medical Services District Long Term C is a 32-bed nursing home in Sundance, Wyoming (Crook County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.77 nurse staffing hours per resident per day, above the Wyoming average of 3.87. CMS lists 1 fine totaling $8,981 in the past three years.
- Certified beds
- 32
- Residents per day (average)
- 29.8
- Certified since
- 1986 (40 yrs)
Non profit - Corporation Participates in Medicare and MedicaidLocated in a hospital
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Crook County Medical Services District Long Term C
Chosen from this home's public data.
- CMS lists 1 fine totaling $8,981 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 78.2%, above the Wyoming average of 51.8%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 4.05 hours per resident on weekends against 4.77 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Wyoming average 2.9
- Health inspections 3 of 5 Wyoming average 2.7
- Staffing 4 of 5 Wyoming average 3.6
- Quality measures 1 of 5 Wyoming average 3.3
The vertical line marks the Wyoming average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.77 h Wyoming average 3.87
- Nurse aides 3.31 h Wyoming average 2.43
- Licensed practical nurses 0.53 h Wyoming average 0.50
- Registered nurses 0.93 h Wyoming average 0.94
- All staff, weekends 4.05 h Wyoming average 3.37
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Wyoming average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover78.2%
- Wyoming average51.8%
- Registered nurse turnover50.0%
- Wyoming average44.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wyoming and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wyoming | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 23.2% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 14.7% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.4% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.9% | 6.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.6% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.1% | 15.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.6% | 94.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 13.2% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.6% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 19.2% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.64 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.35 | 2.27 | 1.78 |
Short-stay residents
| Measure | This home | Wyoming | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.7% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 77.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 16.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 25 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 5, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 14, 2025 | 3 | 11 |
| May 9, 2024 | 9 | 2 |
| Feb 16, 2023 | 13 | 4 |
Wyoming homes averaged 7.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (25)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 3, 2025)
-
DPotential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 3, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 31, 2024)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 31, 2024)
Show 20 more
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 31, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 3, 2024)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Jul 3, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 3, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 3, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 3, 2024)
-
BPotential for minimal harm, pattern
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 3, 2024)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 15, 2023)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Apr 15, 2023)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2023)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Apr 15, 2023)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 15, 2023)
-
CPotential for minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration · Deficient, Provider has date of correction (Apr 15, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 5, 2024 | Fine | $8,981 |
Wyoming homes averaged 1.2 fines and $28,128 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wyoming
- Size34 of 36 by certified beds
- Wyoming average residents per day55.6
- ChainNone listed
- Resident or family councilBoth
- Homes in Crook County1
Common questions
What is the CMS star rating for Crook County Medical Services District Long Term C?
Crook County Medical Services District Long Term C has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 1.
How many beds does Crook County Medical Services District Long Term C have?
Crook County Medical Services District Long Term C has 32 certified beds. It averages 29.8 residents per day, about 93.1% of its certified beds.
How much nursing care do residents get at Crook County Medical Services District Long Term C?
The home reports 4.77 hours of nurse staffing per resident per day, including 0.93 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Crook County Medical Services District Long Term C been fined?
Yes. CMS lists 1 fine totaling $8,981 in the past three years.
Does Crook County Medical Services District Long Term C accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Spearfish Canyon Healthcare 105beds 72.3%in use 3.37nurse hours a day
- 1 of 5 Rolling Hills Healthcare 83beds 70.0%in use 3.62nurse hours a day
- 2 of 5 Weston County Health Services 58beds 89.5%in use 3.81nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Crook County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535029. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.